Don't Doctor Google: Doctor Amy! I'm an NHS GP who wants to help make sense of the world of medicine, women's health and right now, COVID 19. These podcasts are designed for our patients at Unity Health but might be helpful where ever you in live in the UK or elsewhere. They are based on up-to-date evidence-based medicine at the time of publishing but do let me know if I have made errors or the guidance has changed. These are designed to be used with the personalised advice that you can get from your GP or nurse.
Covering Vikings, Vaccines and why you can’t colour in a picture of coronavirus. Reassurance and real science aimed at primary school children featuring Dr Amy (an NHS GP) and Rafe (a 6 year old warrior). Aiming to answer your kids questions on coronavirus.
Updated and re-recorded on the 10/1/2021 based on current NHS advice. It's designed to help adults who think they may have COVID: it gives you a step by step approach to looking after yourself or your loved ones and to help you know when to get medical help.
Helpful links: this is a great leaflet about how to help your body recover from covid: https://www.oxfordhealth.nhs.uk/wp-content/uploads/2020/09/OH-090.20-Post-COVID-Leaflet.pdf Here's the script of the podcast in case you want to read some of the more detailed bits:
This is 111 online:
and this is the fantastic app you can download to record your symptoms (or lack of them) to help us BIG data to make better predictions and learn more about COVID:
This podcast aims to answer your questions on the COVID vaccinations that we are using at our practice right now. It is based on current NHS advice on the Pfizer and Astra Zeneca vaccines when we recorded it on the 9th of January 2021.
This podcast features Advanced Practice Nurse Charlie Zideman and GPs Dr Claire Rudin and Dr Amy Kerstein: we are just a small part of Unity Health's vaccination team and work in our GP surgeries in Bucks when we aren't vaccinating.
The script is here if you find it easier to read some of the details: https://docs.google.com/document/d/1mck6nYv16w67gh9JJLbUL2yULn97wIn25S-x3Jlvt-g/edit?usp=sharing
We know the advice is changing as we learn more about the vaccines: you will be given more written information and have the chance to ask questions on the day of your vaccination.
The Greenbook Chapter on COVID vaccinations:
Pfizer vaccine ingredients:
Modified coronavirus RNA, polyethylene glycol/macrogol (PEG) as part of ALC-0159, ALC-0315 = (4-hydroxybutyl)azanediyl)bis(hexane-6,1-diyl)bis(2-hexyldecanoate), ALC-0159 = 2[(polyethylene glycol)-2000]-N,N-ditetradecylacetamide, 1,2-Distearoyl-sn-glycero-3-phosphocholine, cholesterol, potassium chloride, potassium dihydrogen phosphate, sodium chloride, disodium hydrogen phosphate dihydrate,sucrose
Astra Zeneca ingredients:
Coronavirus DNA in a weakened adenovirus, L-histidine, L-histidine hydrochloride monohydrate, magnesium chloride hexahydrate, polysorbate 80, ethanol, sucrose, sodium chloride, disodium edetate dihydrate, water for injections.
Rafe and his doctor mummy are back to answer your coronavirus questions. New and improved with double the kids. Featuring Bloop the Alien, Donald Trump and why grown ups don't know the answers. Covering topics like going back to school (or not), face masks and what to do if you can't smell the cow poo.
This episode covers the depo and Sayana Press injections which are progesterone only contraception options that given every 13 weeks. In the current COVID 19 situation, the Sayana Press may be a good option as you can learn to give yourself the injection without having to come to the GP surgery. I discuss how they work, the good and not-so-good things about them and how to get started on the Sayana Press injections based on our system at Unity Health. This video shows you how to do your own Sayana Press injections.: you should watch this before your video appointment when we will help teach you to give yourself the first injection. https://www.sayanaanswers.co.uk/guide-to-self-injection
And this is the link for setting up text reminders to give your next injection: https://www.sayanaanswers.co.uk/staying-on-track
The information in this podcast was based on the FSRH guidelines and was up to date when published on the 27/4/2020. Please tweet any feedback to @DrAmyKerstein and feel free to share with other people who might find this helpful.
Exercise is so important for our physical and mental health, especially in these weird times of lockdown, so I have picked the brains of two friends who happen to be local personal trainers. Neil Hussey and Emily Peasgood talk you through their approaches to staying active whether you love getting sweaty or you loathe it. We find out their favorite super-simple exercises, how to wear out your kids, and talk about getting your fitness back after you've been unwell.
If you want to find out more from them:
Don't worry: they haven't paid me to be featured in this podcast and the views expressed are mine and their own and not endorsed by Unity Health.
The video I talk about on breathing exercises to help you during and after a chest infection (for example with Covid 19) is here:
Answering children's questions about Covid 19. Covering important details like whether it started by someone eating a snake, whether you should kiss you pet gorilla and how to stand 1 cow from other people. Including facts, games, tips and lots of reassurance. It's aimed at primary school aged children.
If your packets says ethinylestradiol and another hormone you are on a combined pill. If there is just one ingredient you are on a progesterone only pill. Listen to find out more how to tell the difference.
It might be trickier than usual to get hold of your usual contraception. This podcast tells you solutions whether you use a pill, implant, injection or coil. It is based on my interpretation of the FRSH guidance on this topic published on the 20th of March 2020. Great progesterone pill leaflet here thanks to Philippa Antell: https://docs.google.com/document/d/1skZbChsD5L0RBiVJBPO1qNmFclEvCyXLiZ9lbtfbbg0/edit?usp=drivesdk Enzyme inducing drugs list can be found here... https://www.nhs.uk/conditions/contraception/contraceptive-pill-interact-medicines/)
So what is the menopause, how can you tell if you are going through it and what can you expect? This episode covers common symptoms, whether you need a blood test and whether you can stop contraception if you are getting these symptoms. I am an NHS GP without specialised menopause training but have based this podcast on the experiences of my patients and the NICE 2017 guidance amongst other resources. I hope to go on to create a podcast to explain more about the confusing world of menopause treatment options...
If you take the pill (the one with oestrogen and progesterone) and want to minimise your chances of getting pregnant, make your periods more manageable or simply struggle to remember the pill sometimes this is the podcast for you. It's based on the current guidance from the FSRH and BNF in October 2019.
EDIT: DUE TO CORONA VIRUS, ALL COIL FITTINGS AT UNITY HEALTH HAVE BEEN CANCELLED FROM THE 20/3/2020. This is the current system at our surgeries in June 2019. We will try to update this podcast if it changes. If you are not one of our patients, please check the system at your own GP or Sexual Health clinic.
This covers the key things you should know if you are considering a coil. Worldwide, more women use coils than the contracperive pill. So what's so good about them? What's not so good and what can go wrong? What should you expect when you have one fitted? This information is based on the guidance from the fsrh (the uk sexual health and family planning faculty) and was correct at the time of publishing in June 2019.